The At-Fault Driver’s Insurance Won’t Pay My Claim

What to Do When the At-Fault Driver’s Insurance Won’t Pay Your Claim

Being in a car accident is bad enough, but when the at-fault driver’s insurance refuses to pay your claim, it can feel like an insult added to injury. You might expect their insurer to step up since their driver caused the crash, but denials and delays are too common. Here’s what to do if you’re caught in this frustrating situation.

Why the At-Fault Driver’s Insurance Might Refuse to Pay

Insurance companies are in the business of making money, not paying it out. Even when liability seems clear, they may delay, dispute, or deny your claim using common tactics like the following:

  • Claiming their driver wasn’t at fault
  • Arguing your injuries were pre-existing.
  • Saying there isn’t enough evidence
  • Stating your medical treatment wasn’t “reasonable” or “necessary”
  • Delaying responses in hopes you’ll give up

Step-by-Step Guide: What to Do Next

1. Understand Florida’s No-Fault Insurance Rules

Florida is a no-fault insurance state, meaning your Personal Injury Protection (PIP) insurance pays for initial medical expenses and lost wages—up to $10,000—regardless of who caused the accident.

But if your injuries are severe (e.g., permanent injury, significant scarring, or loss of bodily function), you can step outside the no-fault system and pursue compensation from the at-fault driver’s insurance.

2. Gather Strong Evidence

Insurance companies are more likely to pay when you present solid evidence that proves their insured party was at fault. Make sure you collect:

  • The police report
  • Medical records and bills
  • Photos of the accident scene and damage
  • Witness statements
  • Traffic camera or dashcam footage (if available)

3. Don’t Give a Recorded Statement Without Legal Advice

The insurer may ask you for a recorded statement. Be cautious—what you say can be used against you. Speaking with a Florida car accident attorney before saying anything on the record is wise.

4. File a Claim Through Your Insurance (If Needed)

If the at-fault driver’s insurance refuses to pay and you have collision coverage or uninsured/underinsured motorist (UM/UIM) coverage, your insurer may step in and pay for the following:

  • Vehicle repairs or replacement
  • Medical bills beyond PIP limits
  • Lost wages
  • Pain and suffering (with UM/UIM)

You can then pursue subrogation, where your insurance company seeks reimbursement from the at-fault party.

5. Consult an Experienced Car Accident Lawyer

A lawyer can help you:

  • Investigate and prove liability
  • Communicate with the insurance company.
  • Demand full compensation
  • File a personal injury lawsuit if needed
  • Navigate Florida’s modified comparative negligence laws

Important: As of March 2023, Florida law limits your ability to recover damages if you are found more than 50% at fault. That’s why having an attorney who can fight against unfair blame tactics is critical.

What Damages Can You Recover from the At-Fault Driver?

If successful, you may be entitled to compensation for:

  • Medical bills
  • Future medical care
  • Lost wages and reduced earning ability
  • Pain and suffering
  • Vehicle repair or replacement
  • Emotional distress

Real Life Example

A distracted driver slams into your car. He apologizes, the police blame him, but his insurer says you swerved into his lane. They won’t pay. You dig up traffic cam footage showing he ran a red light, filed with your insurance, and threatened to escalate. Suddenly, they’re willing to talk. Evidence and persistence can turn the tide.

  • Protect Yourself Moving Forward: Add uninsured/underinsured motorist coverage to your policy—it’s a safety net for situations like this. A dashcam can also be a game-changer, proving what happened.

Why Hire Williams Law, P.A. Personal Injury Lawyers?

At Williams Law, P.A., we understand the frustration and anxiety of dealing with an uncooperative insurance company. Our team of experienced accident lawyers is dedicated to helping you fight for the compensation you deserve. Here’s why you should consider hiring us:

  • Experience in Personal Injury Law: We specialize in personal injury and car accident claims, bringing knowledge and experience to every case. We understand insurance companies’ tactics to avoid paying claims and know how to counter them effectively.
  • Personalized Attention: At Williams Law, P.A., we believe in providing personalized legal services. We take the time to understand your unique situation and tailor our approach to meet your specific needs. You are not just another case number to us; you are a person who deserves justice.
  • Aggressive Advocacy: We are committed to fighting for your rights. Our lawyers are skilled negotiators and, when necessary, fearless litigators. We won’t back down from taking your case to court if that’s what it takes to get you the compensation you deserve.
  • No Upfront Fees: We work on a contingency fee basis, meaning you don’t pay us unless we win your case. This allows you to pursue justice without worrying about upfront legal costs.
  • Proven Track Record: We have a proven track record of securing favorable client settlements and verdicts. Our success is built on our dedication to achieving the best possible outcomes for those we represent.

More Personal Injury Resources from Williams Law, P.A:

Conclusion: Don’t Let the Insurance Company Intimidate You

Dealing with an uncooperative insurance company can be frustrating, especially when recovering from an accident and facing mounting medical bills. If the at-fault driver’s insurance company refuses to pay your claim, it’s essential to consider all your options for recovering compensation.

If you’re getting the runaround from an insurance company, we’re here to help. Our experienced Florida car accident attorneys will review your case, help you gather evidence, negotiate with the insurance company, and, if necessary, file a lawsuit to ensure you receive the compensation you deserve. Call us at1-800-451-6786 or fill out our online contact form.